Bluebell Health & Wellness, Pllc | |
3484 Us Highway 13 S Goldsboro NC 27530-1025 | |
(919) 689-2222 | |
Not Available |
Full Name | Bluebell Health & Wellness, Pllc |
---|---|
Speciality | Clinic/Center |
Location | 3484 Us Highway 13 S, Goldsboro, North Carolina |
Authorized Official Name and Position | Jennifer Mazurek (DNP, FNP-BC) |
Authorized Official Contact | 2529039974 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bluebell Health & Wellness, Pllc 3484 Us Highway 13 S Goldsboro NC 27530-1025 Ph: (919) 689-2222 | Bluebell Health & Wellness, Pllc 3484 Us Highway 13 S Goldsboro NC 27530-1025 Ph: (919) 689-2222 |
NPI Number | 1740940790 |
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Provider Enumeration Date | 12/17/2021 |
Last Update Date | 05/15/2024 |
Medicare PECOS PAC ID | 6406241017 |
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Medicare Enrollment ID | O20220317002104 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740940790 | NPI | - | NPPES |
5011760 | Other | NC | NURSE PRACTITIONER LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Jennifer Michelle Mazurek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679130074 PECOS PAC ID: 8729314091 Enrollment ID: I20190724001196 |
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